Individual provider · Type 1 NPI

Mayonne Renner, NP-C

Adult Health Nurse Practitioner · Portland, OR

NPI number 1477926517 Active

Practice location

501 N Graham St Ste 200
Portland, OR 97227-2000

Mailing address

PO Box 3777
Portland, OR 97208-3777

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X95003389 (CA)
Gerontology Nurse Practitioner 363LG0600X29423 (TN)
Adult Health Nurse Practitioner Primary 363LA2200X10056056 (OR)
Primary Care Nurse Practitioner 363LP2300X95003389 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1477926517

Mayonne Renner, NP-C's National Provider Identifier is 1477926517, issued on Nov 11, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2026.